If the main text in the document is an image, run it through the Adobe OCR scanner. It will convert all text into actual selectable text, making it accessible. Check that all the tags are in place and correct. Check meaningful images for alt-text, make sure links are descriptive, and add bookmarks. Don’t forget to give the document a descriptive title and specify the language. Completing these steps will ensure that your PDF has a basic level of accessibility, even though some issues may remain.
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